Question
A ten-month-old baby developed a fever on the evening of December 6th, following a DTP vaccine administered in the morning. Initially, the fever was accompanied by a blue face and chills. After four days of ineffective traditional Chinese medicine treatment, the diagnosis was bronchitis, and treatment was switched to injections. The baby is currently taking Virazole and Lijianxin, but still experiences runny nose, coughing in the morning and evening, and phlegm in the throat. The illness has now lasted seventeen days, and the baby is also taking traditional Chinese medicine and 0.125g of Hicloa once daily. Further treatment advice is requested from experts.
Answer
The key to treating baby bronchitis includes:
- For older children or those with early-stage disease without fever and dry cough, mainly use traditional Chinese medicine, prepared Chinese medicine, and symptomatic treatment.
- For children with severe symptoms, fever, and secondary infections from upper respiratory infections, consider using SMZc0 or penicillin, erythromycin, or other similar drugs first. For children over 5 years old, erythromycin is preferred. Avoid unnecessary double antibiotic use.
- For children with abundant and thick phlegm, ensure adequate fluid intake and avoid using simple cough suppressants. Commonly used medications include:
- Baby Cough Mixture (MT), 1ml/kg per dose, three times a day.
- Brown Mixture, 1ml/age per dose, three times a day.
- Cotrine, half a tablet to one tablet per dose, twice or three times a day. Due to Cotrine containing antihistamines, avoid using Phenylephrine or other sedatives simultaneously.
- Bishupin, 4-8mg per dose, three times a day. 4